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Individual

DR. DIANA JEAN GLEASON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
1525 SHATTUCK AVE STE B, BERKELEY, CA 94709
(510) 433-7273
Mailing address
1525 SHATTUCK AVE STE B, BERKELEY, CA 94709-1500
(510) 433-7273

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY18254
CA

Other

Enumeration date
07/18/2006
Last updated
06/11/2019
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